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FRIDAY | APRIL 25, 20 0 8<br />

<str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> Orthopedics<br />

Patient success in Cardiac Rehab<br />

Surgery services at <strong>Renown</strong> South Meadows<br />

Cultural diversity at Labor and Delivery


CULTURAL DIVERSITY<br />

IN LABOR & DELIVERY<br />

NURSES CREATE THEIR<br />

OWN GUIDE<br />

CEOnotes<br />

As you read through this issue of the M<strong>on</strong>itor,<br />

there will be a theme that may be subtle at<br />

first, but that is present in everything we do to<br />

foster a culture of quality care. That theme is<br />

resp<strong>on</strong>sibility.<br />

A great example is the cover story package<br />

<strong>on</strong> Orthopedics. Both in the Total Joint<br />

Replacement project and our work in Trauma<br />

Services, <strong>Renown</strong> employees are working with<br />

physicians and peers to optimize the patient<br />

experience.<br />

These projects are examples that quality is<br />

every<strong>on</strong>e’s resp<strong>on</strong>sibility. That includes me,<br />

our leaders and board members, physicians,<br />

and every employee in both clinical and<br />

support services across the health network.<br />

The fostering of teamwork to deliver great<br />

patient care is the <strong>on</strong>ly way we can achieve the<br />

best outcomes and customer service for every<br />

patient, every time.<br />

When you read about success stories such as<br />

these – or the stories <strong>on</strong> the patient experience<br />

at <strong>Renown</strong> South Meadows Medical Center and<br />

<strong>on</strong>e pers<strong>on</strong>al patient story in Cardiac Rehab at<br />

<strong>Renown</strong> Regi<strong>on</strong>al – I hope you’ll be able to see<br />

a reflecti<strong>on</strong> in your own work.<br />

Did you know that Samoan mothers-to-be are<br />

modest, str<strong>on</strong>gly family-oriented and listen to their<br />

grandmothers as well as mothers for birthing advice?<br />

For some Hispanic women, there is a belief that tying a<br />

red ribb<strong>on</strong> or red piece of yarn around their stomachs<br />

will ward off bad outcomes. In many Asian cultures,<br />

pregnant women d<strong>on</strong>’t drink cold beverages for fear<br />

they might lead to infecti<strong>on</strong>.<br />

Labor and Delivery employees at <strong>Renown</strong> Regi<strong>on</strong>al<br />

Medical Center have learned about these cultural<br />

traditi<strong>on</strong>s and family interacti<strong>on</strong>s from the work of<br />

two registered nurses <strong>on</strong> their unit. Leanne Gori, RN,<br />

and Debbie Hawley, RN, recently completed a Clinical<br />

Ladder Level 3 project <strong>on</strong> cultural diversity.<br />

“We decided to focus <strong>on</strong> the cultural backgrounds<br />

of our current patient populati<strong>on</strong>,” said Gori. “We<br />

recognized the need, and I think we have inevitably<br />

improved care by better understanding our patients’<br />

beliefs and traditi<strong>on</strong>s.”<br />

Nurses now have a culture and nursing care guide<br />

that they can refer to <strong>on</strong> the unit for informati<strong>on</strong> <strong>on</strong><br />

T<strong>on</strong>gans, Samoans, Japanese, American Indians, and<br />

Hispanics, to name a few. In additi<strong>on</strong>, nurses can read<br />

up <strong>on</strong> these cultural differences and take a test <strong>on</strong><br />

the unit to receive a cultural diversity credit. Cultural<br />

diversity is an important aspect of any Magnetdesignee<br />

hospital and was another reas<strong>on</strong> why Gori<br />

and Hawley chose the project.<br />

I know from visiting units and hearing from<br />

leaders that there are many team members<br />

from across disciplines working together to<br />

achieve the highest quality care at <strong>Renown</strong><br />

<strong>Health</strong>. Your ideas are important, innovative<br />

and, in some cases, a nati<strong>on</strong>al best practice.<br />

This work is the foundati<strong>on</strong> of our ability<br />

to give the most advanced care in northern<br />

Nevada – healthcare that our community<br />

expects, and deserves.<br />

Erin Foster, RN, Labor and Delivery, shows the Chinese-American<br />

porti<strong>on</strong> of the guide <strong>on</strong> cultural diversity created by nurses <strong>on</strong><br />

that <strong>Renown</strong> Regi<strong>on</strong>al unit.


A BETTER LIFE<br />

PATIENT PRAISES WORK OF CARDIAC REHAB TEAM<br />

It’s been 20 years since Reno resident Carl McDuffie<br />

suffered a heart attack that forced him into cardiac arrest.<br />

As part of his recovery, doctors referred him to <strong>Renown</strong><br />

<strong>Health</strong>’s cardiac rehabilitati<strong>on</strong> program. McDuffie worked<br />

with Cardiac Rehab Manager Doug Plourde, RN, and<br />

Karen Page, RN, <strong>on</strong> a treatment plan that improved the<br />

quality of his life tremendously.<br />

“The first time you step through those doors, it’s very<br />

daunting because you’re not exactly sure how much l<strong>on</strong>ger<br />

you’ve got,” McDuffie said. “But, I was c<strong>on</strong>fident in the<br />

course of acti<strong>on</strong> I had to take in order to maintain a healthy<br />

lifestyle.”<br />

Through motivating patients to improve their quality of<br />

life, Cardiac Rehab works hand-in-hand with people who<br />

suffer from a variety of heart c<strong>on</strong>diti<strong>on</strong>s including heart<br />

attack, bypass surgery and angioplasty. McDuffie credits<br />

his life to cardiac rehabilitati<strong>on</strong> and is unequivocally <strong>on</strong>e of<br />

the program’s greatest fans.<br />

Carl McDuffie (center) works with Cardiac Rehab Manager Doug<br />

Plourde, RN (right) and Karen Page, RN, <strong>on</strong> classic strength<br />

exercises used at Heart <strong>Health</strong> at <strong>Renown</strong> Regi<strong>on</strong>al.<br />

“Before rehab I wasn’t exercising, was smoking and<br />

was working n<strong>on</strong>-stop,” McDuffie said. “Once I started<br />

the program, my wife Pat and I quit smoking, started<br />

exercising and began making healthier decisi<strong>on</strong>s all<br />

around. It gave me the faith and courage to live.”<br />

Cardiac Rehab sets forth three goals for each patient<br />

entering the program. The first is to ensure a patient’s<br />

understanding of their heart c<strong>on</strong>diti<strong>on</strong> and the treatment<br />

they’ve been given. They then work with each patient to<br />

create awareness about the individual’s risk factors (such<br />

as smoking or a high-fat diet) and coach people to modify<br />

or relinquish risky behaviors. Finally, the team focuses<br />

<strong>on</strong> teaching the patient heart health exercises they can do<br />

safely and with great benefits.<br />

“We support people in making lifestyle changes,” said<br />

Page. “Patients can’t do what they d<strong>on</strong>’t know, and through<br />

educati<strong>on</strong> they make good decisi<strong>on</strong>s imperative to their<br />

care.”<br />

McDuffie serves as an example for all cardiac patients and<br />

is a true <strong>Renown</strong> success story. He c<strong>on</strong>tinues exercising<br />

daily and enjoys playing in the Sparks Recreati<strong>on</strong><br />

Department’s senior softball league. In additi<strong>on</strong>, McDuffie<br />

enjoys fishing and walks with Pat, his wife of 50 years.<br />

Alicia Bothmer, (left) Medical Exercise Specialist, works<br />

<strong>on</strong> strength training with Carl McDuffie at the Heart<br />

Rehab unit at <strong>Renown</strong> Regi<strong>on</strong>al.<br />

| 3 |<br />

THE MONITOR APRIL 25, 2008


MAKING A GENUINE DIFFERENCE<br />

DIETARY SERVICES AT RENOWN REHAB<br />

Working for an organizati<strong>on</strong> with<br />

a Purpose as meaningful as ours<br />

can bring out the best in people. All<br />

employees c<strong>on</strong>nect to our Purpose, no<br />

matter their role in the organizati<strong>on</strong>:<br />

make a genuine difference in the many<br />

lives we touch by optimizing our<br />

patients’ healthcare experience.<br />

The folks in Dietary at <strong>Renown</strong><br />

Rehabilitati<strong>on</strong> Hospital are a great<br />

example of living our Purpose. They<br />

c<strong>on</strong>tinuously perform at a level that<br />

proves they are here to make the patient<br />

experience the best it can be.<br />

In their role, the Dietary team makes<br />

sure patients receive meals that take<br />

into account each pers<strong>on</strong>’s abilities<br />

or functi<strong>on</strong>al limitati<strong>on</strong>s and stage of<br />

rehabilitati<strong>on</strong>. For example, patients<br />

who have suffered from a stroke may<br />

have limited ability to swallow and<br />

these patients may be limited to what<br />

they can or cannot eat.<br />

From left to right, members of the <strong>Renown</strong> Rehabilitati<strong>on</strong> Hospital dietary team: Flavia<br />

de la Torre, Nutriti<strong>on</strong> Assistant; Guadalupe Ayala, Cook; Raymundo Frausto, Dish Washer;<br />

and Manuel Rivera, Cook.<br />

Tracy Wessel, Food and Nutriti<strong>on</strong><br />

Services Manager at <strong>Renown</strong> Rehab,<br />

said the daily nutriti<strong>on</strong> patients get from<br />

their food plays a huge role in their<br />

treatment, from the very start of their<br />

stay to their return home.<br />

“A patient’s food is treated like a<br />

medicati<strong>on</strong>,” Wessel said. “The nutriti<strong>on</strong><br />

we provide helps optimize their therapy<br />

and recovery.”<br />

Other employees in the Dietary<br />

department include cooks, dishwashers<br />

and nutriti<strong>on</strong> assistants, to name a few.<br />

They all have a role in optimizing the<br />

patient’s experience. In fact, the Dietary<br />

team’s focus <strong>on</strong> patient experience has<br />

proven to be their str<strong>on</strong>g point. They<br />

have scored above the 95th percentile<br />

for patient satisfacti<strong>on</strong> and received the<br />

top score – 100 percent – <strong>on</strong> a recent<br />

Washoe County <strong>Health</strong> Department<br />

inspecti<strong>on</strong>.<br />

Pride in their work, c<strong>on</strong>necti<strong>on</strong> to the<br />

organizati<strong>on</strong>’s Purpose and compassi<strong>on</strong><br />

for their patients shines through in the<br />

<strong>Renown</strong> Rehab Dietary team.<br />

EMR MILESTONE REACHED<br />

HEALTH INFORMATION GOES LIVE AT RENOWN REGIONAL<br />

Another Electr<strong>on</strong>ic Medical Record milest<strong>on</strong>e has been<br />

reached as <strong>Renown</strong> Regi<strong>on</strong>al Medical Center’s <strong>Health</strong><br />

Informati<strong>on</strong> Management Department started using<br />

the system to track all patient charts across the health<br />

network <strong>on</strong> March 25.<br />

In additi<strong>on</strong> to chart management -- past and future-<br />

- HIM is utilizing the system to manage release of<br />

informati<strong>on</strong>, access clinical informati<strong>on</strong> to support<br />

coding and manage physician transcripti<strong>on</strong>s, including<br />

tracking when there is missing informati<strong>on</strong>. The<br />

c<strong>on</strong>versi<strong>on</strong> from paper charting to the EPIC system<br />

also allows HIM to perform some automati<strong>on</strong> of chart<br />

requests, such as when a surgery case is scheduled.<br />

These EMR functi<strong>on</strong>s are specific to the HIM<br />

department.<br />

“It has been a huge transiti<strong>on</strong> but we are improving<br />

every day and are <strong>on</strong> the right track, said Colleen Wolfe,<br />

HIM Supervisor at <strong>Renown</strong> Regi<strong>on</strong>al. “We are working<br />

out issues and moving al<strong>on</strong>g with training.”<br />

In the l<strong>on</strong>g run, the system will save staff and physicians<br />

valuable time as well as improve patient care.<br />

“We have enhanced the ability for health care<br />

professi<strong>on</strong>als to access patient health history and other<br />

pertinent informati<strong>on</strong> quickly,” said Marti Heesen-May,<br />

HIM Director. “When we participate in periodic audits<br />

by regulatory agencies such as the Joint Commissi<strong>on</strong>, the<br />

EPIC system will make the entire process of informati<strong>on</strong><br />

gathering and chart auditing exp<strong>on</strong>entially easier than<br />

in the past.”<br />

| 4 |<br />

THE MONITOR APRIL 25, 2008


services for surgery patients<br />

renown south meadows scores high <strong>on</strong> satisfacti<strong>on</strong> survey<br />

Quality and Service are two fundamentals we strive to<br />

uphold each day. The Surgery department at <strong>Renown</strong><br />

South Meadows Medical Center has exemplified these<br />

key fundamentals in their most recent Patient Satisfacti<strong>on</strong><br />

Survey scores. Ranked in the top two percentile, the Surgery<br />

department was candid about why they scored so well.<br />

“We’re living the Purpose statement,” said Keith Covert,<br />

Manager of Perioperative Services at <strong>Renown</strong> South<br />

Meadows. “We’re all here to make a genuine difference. We<br />

work as a team to create an envir<strong>on</strong>ment where patients are<br />

getting the best possible service.”<br />

As the surgery volume at the hospital has grown to more<br />

than 400 cases per m<strong>on</strong>th, the staff has displayed dedicati<strong>on</strong><br />

and flexibility to meet the needs of the community and the<br />

department. As <strong>on</strong>e example, <strong>Renown</strong> South Meadows<br />

underwent c<strong>on</strong>versi<strong>on</strong> to the Electr<strong>on</strong>ic Medical Record, and<br />

Covert said the surgery team stayed positive and adjusted to<br />

the challenge well.<br />

The Surgery department credits their score of 98 percent<br />

<strong>on</strong> February’s Patient Satisfacti<strong>on</strong> Survey to the hard work<br />

every<strong>on</strong>e puts forth. As scores come in, Covert looks for<br />

trends and solicits ideas from the rest of the team about<br />

how they can stay ahead of a problem and fix current issues<br />

that are an area of growth for the department. Additi<strong>on</strong>ally,<br />

single-questi<strong>on</strong> surveys help get feedback immediately.<br />

benefiting the community<br />

By DAWN<br />

AHNER<br />

Chief Financial<br />

Officer,<br />

<strong>Renown</strong><br />

<strong>Health</strong><br />

As the community‘s <strong>on</strong>ly locally owned,<br />

not-for-profit health network, <strong>Renown</strong><br />

<strong>Health</strong>’s income is used to expand our<br />

programs and services in order to be<br />

able to meet the regi<strong>on</strong>’s healthcare<br />

needs, now and in the future. We<br />

practice good stewardship of our area’s<br />

limited healthcare resources so that<br />

every member of our community has<br />

access to a nurse and a bed when care is<br />

needed.<br />

Did you know that <strong>Renown</strong> provides<br />

more 85 percent of indigent care<br />

in our community? We fulfill our<br />

resp<strong>on</strong>sibility to serve those least able to<br />

pay for their care, and encourage other<br />

hospitals to do the same. In additi<strong>on</strong>, we<br />

actively embrace our role in improving<br />

the health and well-being of the people<br />

in our community.<br />

Each year, <strong>Renown</strong> publicly reports<br />

our community benefit. Take a look<br />

at our most recent report <strong>on</strong>line<br />

at renown.org>about <strong>Renown</strong><br />

<strong>Health</strong>>Community Benefit.<br />

We can be proud of the $82.8 milli<strong>on</strong><br />

<strong>Renown</strong> invested in this community in<br />

fiscal year 2006.<br />

• $72.1 milli<strong>on</strong> in subsidized health<br />

services for those in need<br />

From left to right, Perioperative Supervisor Kathy Garrido, RN; Pieter<br />

Van Tassel, Inventory Facilitator; and Keith Covert, Manager of<br />

Surgical Services at <strong>Renown</strong> South Meadows Medical Center.<br />

“It is nice to see our scores are so high,” said Ann Marie<br />

Griffith, Surgical Technologist. “But we didn’t set out to get<br />

high scores -- we set out to do a good job with the patients.”<br />

Each member of the surgical team insists communicati<strong>on</strong> is the<br />

No. 1 priority.<br />

“It is important for us to try and find a way to relate what’s<br />

happening to our patient,” said Jimi Onisile, technician. “It<br />

all boils down to them. The more we communicate, the less<br />

scared they seem to feel.”<br />

<strong>Renown</strong> South Meadows also credits an emphasis <strong>on</strong> physician<br />

satisfacti<strong>on</strong> and quick turnaround times to great service.<br />

• $7.6 milli<strong>on</strong> in free and low-cost<br />

community health services<br />

• $2 milli<strong>on</strong> in educati<strong>on</strong> for health<br />

professi<strong>on</strong>als<br />

• $1.1 milli<strong>on</strong> in research,<br />

c<strong>on</strong>tributi<strong>on</strong>s to organizati<strong>on</strong>s<br />

and other community services.<br />

This investment would not be<br />

possible without the incredible<br />

work of <strong>Renown</strong> employees. From<br />

Nevada Women’s Expo health<br />

screenings to thousands of flu<br />

vaccines, from <strong>Health</strong> Hotline<br />

calls to training for medical<br />

students and other health<br />

professi<strong>on</strong>als, from our<br />

generous support of local<br />

n<strong>on</strong>-profit organizati<strong>on</strong>s<br />

and more, we are making a<br />

genuine difference.<br />

| 5 |<br />

THE MONITOR APRIL 25, 2008


FOCUS<br />

o n o r t h o p e d i c s<br />

setting a nati<strong>on</strong>al standard<br />

orthopedic trauma program used as model for others<br />

<strong>Renown</strong> Regi<strong>on</strong>al Medical Center’s orthopedic trauma<br />

program is a great example of the str<strong>on</strong>g relati<strong>on</strong>ship the<br />

health network has with Reno’s orthopedic care community.<br />

It’s also a great showcase for the skill, expertise and<br />

technology we c<strong>on</strong>tinue to offer throughout the regi<strong>on</strong>.<br />

A model for smaller city hospitals nati<strong>on</strong>wide, the trauma<br />

center is the busiest n<strong>on</strong>-academic trauma hospital in the<br />

country, caring for thousands of patients a year.<br />

“The coordinati<strong>on</strong> of a trauma program like we have here<br />

is a m<strong>on</strong>umental task and achievement,” said Timothy Bray,<br />

MD, Orthopedics, Medical Director of the trauma program.<br />

“Every<strong>on</strong>e involved sees the importance of what we’re doing<br />

and works together to provide the best patient care.”<br />

Operating as the regi<strong>on</strong>’s <strong>on</strong>ly certified Level-II Trauma<br />

Center, <strong>Renown</strong> Regi<strong>on</strong>al and the Reno orthopedic<br />

From left to right: Daniel Coll, Orthopedic Physician Assistant, PAC; Peter<br />

Althausen, MD; Tim O’Mara, MD; Timothy Bray, MD, Chief of Orthopedic Trauma<br />

Service; Michael Cvitash, Orthopedic Physician Assistant, PAC.<br />

| 6 |<br />

THE MONITOR APRIL 25, 2008<br />

community work together to maintain high standards set<br />

by the American College of Surge<strong>on</strong>s. Every three years, the<br />

program undergoes re-certificati<strong>on</strong> and has held accreditati<strong>on</strong><br />

since its incepti<strong>on</strong> in 1994.<br />

<strong>Renown</strong> works closely with its traumatologists to<br />

accommodate requests that will improve the way the system<br />

functi<strong>on</strong>s. One of these requests was the additi<strong>on</strong> of two<br />

physician assistants in 2005, Dan Coll and Michael Cvitash.<br />

The main focus of this additi<strong>on</strong> was to have other clinical staff<br />

who provide a workup of patients, assist in surgery, and offer<br />

follow-up <strong>on</strong> issues related to the management of trauma<br />

patients.<br />

“We are grateful to the hospital for recognizing the<br />

importance of the orthopedic trauma missi<strong>on</strong>,” Dr. Bray<br />

said. “The additi<strong>on</strong> of the physician assistants has positively<br />

impacted patient care. They are an integral part of the trauma<br />

team.”<br />

The hope of <strong>Renown</strong>’s trauma team is for hospitals in smaller<br />

cities to see the benefit of making a system such as ours<br />

work for them. With emergency room access limited<br />

throughout the regi<strong>on</strong>, our facility sees patients<br />

from all over the Great Basin including Eastern<br />

Utah, southern Oreg<strong>on</strong> and as far south as<br />

L<strong>on</strong>e Pine, Calif.<br />

“Nati<strong>on</strong>al data is showing a decreased<br />

number of ER orthopedic surge<strong>on</strong>s,”<br />

said Peter Althausen, MD, <strong>on</strong>e of<br />

<strong>Renown</strong>’s orthopedic traumatologists.<br />

“It’s important every<strong>on</strong>e works<br />

together and educates people <strong>on</strong> best<br />

practices when it comes to trauma<br />

patients. Our hope is to develop an<br />

orthopedic trauma fellowship where<br />

physicians can come here to learn<br />

how our system works and then go<br />

out with the tools to develop similar<br />

programs in small city hospitals.”


total joint replacement<br />

PROGRAM<br />

services for the entire c<strong>on</strong>tinuum of care<br />

Total Joint Replacement Services at<br />

<strong>Renown</strong> <strong>Health</strong> has been revamped<br />

to c<strong>on</strong>tinue providing patients the<br />

best possible healthcare experience.<br />

Available to those undergoing<br />

total joint replacements, the new<br />

program offers a c<strong>on</strong>tinuity of care<br />

provided by the nurses, physical and<br />

occupati<strong>on</strong>al therapists, orthopedic<br />

surge<strong>on</strong>s, and case managers.<br />

Beginning at the surge<strong>on</strong>’s office,<br />

candidates are provided with<br />

educati<strong>on</strong> about the benefits<br />

of <strong>Renown</strong> <strong>Health</strong>’s Total Joint<br />

Replacement Services. Up<strong>on</strong><br />

enrollment, patients are c<strong>on</strong>tacted<br />

by <strong>Renown</strong>’s Total Joint Coordinator,<br />

Sarah McDowell, RN, who welcomes<br />

them into the program and is the<br />

patient liais<strong>on</strong> throughout their<br />

experience.<br />

McDowell encourages each patient<br />

to attend <strong>on</strong>e of the pre-operative<br />

educati<strong>on</strong> classes where patients<br />

receive accurate informati<strong>on</strong> about<br />

their procedure, helping to relieve<br />

anxiety and maximize patient<br />

outcome. Patients are encouraged<br />

to bring a family member or friend<br />

to class so they can coach and assist<br />

them during recovery.<br />

“We really try to make this a <strong>on</strong>estop-shop,”<br />

said Elizabeth Frank,<br />

RN, Orthopedics Nursing Manager.<br />

“We encourage patients to complete<br />

pre-op testing and lab work the same<br />

day they come in for the educati<strong>on</strong><br />

classes.”<br />

A team from across the healthcare spectrum helps with the Total Joint Replacement<br />

program. They include, from left, Barbara Gabut, Physical Therapy Assistant; Sarah<br />

McDowell, RN, Total Joint Coordinator; Elizabeth Frank, RN, Orthopedics Nursing<br />

Manager; Alicia Glassco, RN, Mary Wilhoite, TMCC Nursing Student and Jeff Broderick,<br />

Occupati<strong>on</strong>al Therapist.<br />

After their procedure, patients<br />

begin daily group physical therapy<br />

sessi<strong>on</strong>s with a friend or family<br />

member who acts as a coach<br />

throughout their recovery. These<br />

group sessi<strong>on</strong>s are designed to create<br />

an immediate support system for the<br />

patient and to build strength and<br />

c<strong>on</strong>fidence preparing them for their<br />

release.<br />

“Our focus is to improve the<br />

quality of our patients’ lives,” said<br />

McDowell. “The entire department<br />

has pushed for this interdisciplinary<br />

program and we work tightly<br />

together to make certain of the best<br />

outcome for our patients.”<br />

According to John Hawkins, Service<br />

Line Administrator for Orthopedics,<br />

<strong>Renown</strong> <strong>Health</strong> performs about 60<br />

percent of northern Nevada’s total<br />

joint replacement surgeries.<br />

“This program has skill, expertise<br />

and technology behind it, and<br />

that really is what differentiates it<br />

from the competiti<strong>on</strong>” said Steve<br />

Cunningham, MD, Orthopedics,<br />

Arthoplasty Medical Director.<br />

“The friendly atmosphere and<br />

knowledge of the entire team<br />

make it the place in our regi<strong>on</strong><br />

to elect to have total joint<br />

replacement procedures.”<br />

ON THE COVER: From left to right: Kathi Morser, RN, Surgical Services;<br />

Steve Cunningham, MD, Orthopedics, Medical Director of the Total Joint<br />

Replacement Program; Luz Raygoza, student nurse; and Kitty Florez, RN,<br />

Surgical Services.<br />

| 7 |<br />

THE MONITOR APRIL 25, 2008


EMPLOYEES OF THE MONTH<br />

<strong>Renown</strong> <strong>Health</strong> Employees of the M<strong>on</strong>th are selected by a volunteer group of employees known as <strong>Renown</strong> Pride. This group<br />

develops and supports programs to foster reward and recogniti<strong>on</strong> for employees. For more informati<strong>on</strong> about how to nominate a<br />

fellow employee visit the People secti<strong>on</strong> <strong>on</strong> Inside <strong>Renown</strong>.<br />

for FEBRUARY 2008<br />

G E N U I N E<br />

D I F F E R E N C E :<br />

Make a genuine difference<br />

for the many lives we touch<br />

by optimizing our patients’<br />

healthcare experience.<br />

P e o p l e :<br />

A great place for great<br />

people to do great work.<br />

Jas<strong>on</strong> Kattehorn, Graduate Nurse, Intensive Care Unit,<br />

Roseview Tower, <strong>Renown</strong> Regi<strong>on</strong>al Medical Center<br />

Jas<strong>on</strong> coordinated a wedding for a patient in the ICU. He helped<br />

with social services, the charge nurse, spiritual services, and the<br />

family. Jas<strong>on</strong> arranged for cake and ice cream, and a card from all<br />

of the staff to be given to the family. “The cerem<strong>on</strong>y was beautiful<br />

and the family was very thankful for the effort that Jas<strong>on</strong> put<br />

forth to ensure that the wedding would occur,” his nominator<br />

wrote.<br />

Liza Warner, Informati<strong>on</strong> Resources, <strong>Renown</strong> <strong>Health</strong><br />

During a recent system c<strong>on</strong>versi<strong>on</strong> for the <strong>Renown</strong> payroll system,<br />

Liza spent a lot of time helping with internal customers. She<br />

worked extra hours, including some days off, and did this work<br />

<strong>on</strong> top of her regular issues. One wrote in Liza’s nominati<strong>on</strong> that<br />

she “digs deeper into issues that need critical research, and overall<br />

provides assurance and support that things would work out fine.”<br />

S e r v i c e :<br />

Anticipate customer<br />

needs and exceed<br />

expectati<strong>on</strong>s in a<br />

compassi<strong>on</strong>ate manner.<br />

Amy Hawkins, RN, Intensive Care Unit, Sierra Tower, <strong>Renown</strong><br />

Regi<strong>on</strong>al<br />

Amy was caring for a patient from out-of-town who later passed<br />

away. After the patient’s family left for home, a package was<br />

received for the family. Amy took the package home with her and<br />

shipped it out to them the next day <strong>on</strong> her own time and using her<br />

own m<strong>on</strong>ey. “Thanks for providing great customer service, Amy,”<br />

her nominator wrote.<br />

Q u a l i t y :<br />

Provide excellence by<br />

doing the job right<br />

the first time.<br />

Katie J<strong>on</strong>es, Technician, Pharmacy, <strong>Renown</strong> Regi<strong>on</strong>al<br />

As clinician liais<strong>on</strong> for new medicati<strong>on</strong>s, Katie helped<br />

pharmacists with new paperwork for Cardiovascular Services.<br />

During this, she went above-and-bey<strong>on</strong>d by adding medicati<strong>on</strong>s<br />

that would treat an allergic reacti<strong>on</strong> to other n<strong>on</strong>-invasive cardiac<br />

testing medicines. She also called to make sure that medicine was<br />

included <strong>on</strong> the unit.<br />

Stewardship:<br />

Maximize the use of<br />

available, finite resources<br />

to meet the current<br />

and future needs of the<br />

community.<br />

Renee York, RN, Telemetry, Tahoe Tower, <strong>Renown</strong> Regi<strong>on</strong>al<br />

Renee found an efficiency that has saved m<strong>on</strong>ey for <strong>Renown</strong>.<br />

During training for a new m<strong>on</strong>itor system in Telemetry, she<br />

suggested that the older paper used to print out results from<br />

the system could c<strong>on</strong>tinue to be used in place of newer, more<br />

expensive paper. It turned out to be the case, and it affected<br />

m<strong>on</strong>itor print-outs in PACU and the Emergency Room as well as<br />

Telemetry.<br />

| 8 |<br />

THE MONITOR APRIL 25, 2008


star awardS<br />

The <strong>Renown</strong> Pride team gives special <strong>Renown</strong> Star<br />

awards to employees who have d<strong>on</strong>e work in the<br />

community that deserves special recogniti<strong>on</strong>. This<br />

m<strong>on</strong>th, there are three winners of <strong>Renown</strong> Star awards:<br />

Rindy Zamb<strong>on</strong>i- DiLoreto, CNA, General Surgical Unit,<br />

Tahoe Tower, <strong>Renown</strong> Regi<strong>on</strong>al Medical Center<br />

A patient who was in a car accident called Rindy “her<br />

angel” in a thanks to <strong>Renown</strong> <strong>Health</strong> for her care.<br />

Rindy witnessed the accident of the patient and pulled<br />

over to assist and help paramedics at the scene. “She<br />

took the time to come to my room and talk to me about<br />

what happened. She truly deserves more than a thankyou,”<br />

the patient wrote.<br />

Steven Hall, Technician, and Lynn Kotlicky, Physical<br />

Therapist, Rehabilitati<strong>on</strong> Therapy, 50 Kirman<br />

Lynn and Steven resp<strong>on</strong>ded quickly when a pers<strong>on</strong><br />

collapsed in the parking lot at 50 Kirman. They<br />

began CPR and assisted with the patient even after<br />

paramedics arrived. Once the fire department relieved<br />

them, they stayed with the family and assisted in<br />

other ways. “Their take-c<strong>on</strong>trol resp<strong>on</strong>se was both<br />

professi<strong>on</strong>al and brave,” their nominator wrote. “We<br />

are lucky that they are members of our Reno and<br />

<strong>Renown</strong> community.”<br />

ABOVE: Steven Hall,<br />

Technician & Lynn<br />

Kotlickey, Physical<br />

Theapist, Rehabilitati<strong>on</strong><br />

Therapy at 50 Kirman.<br />

LEFT: Rindy Zamb<strong>on</strong>i-<br />

DeLoreto, CNA, General<br />

Surgery Unit, <strong>Renown</strong><br />

Regi<strong>on</strong>al.<br />

leadership quest takes place<br />

LEFT: An animated Lee<br />

J. Colan, the keynote<br />

speaker at Leadership<br />

Quest, talked about the<br />

art of Sticking to it.<br />

BELOW: Leadership<br />

Quest team members<br />

act out a skit based<br />

<strong>on</strong> a letter about <strong>on</strong>e<br />

patient’s <strong>Renown</strong><br />

Regi<strong>on</strong>al ER experience.<br />

From left to right, Jared<br />

Marks, Scott Knight, Jessi<br />

Bosco, Jex Lawrence and<br />

Bennie Stein.<br />

About 300 <strong>Renown</strong> leaders gathered for the<br />

twice-a-year Leadership Quest held <strong>on</strong> March 25<br />

at the Peppermill Hotel Casino. This year’s event<br />

focused <strong>on</strong> the <strong>Renown</strong> Regi<strong>on</strong>al Emergency<br />

Room and the patient experience.<br />

With more than 65,000 patients coming through<br />

<strong>Renown</strong> Regi<strong>on</strong>al’s ER each year, Jim Miller,<br />

President and CEO, helped leaders understand<br />

why every<strong>on</strong>e plays an important role in the<br />

patient experience. Larry Weber, Vice President<br />

of Ancillary and Support Services, presented<br />

leaders with a call to acti<strong>on</strong> relating to ER patient<br />

experience and Allan Hanssen, Vice President of<br />

Strategic Initiatives, educated about the need to<br />

act as an integrated healthcare network.<br />

Other covered topics included recogniti<strong>on</strong> of<br />

World Class Workgroups, a look at <strong>Renown</strong><br />

Skilled Nursing’s improvement in employee<br />

engagement and practices, and employee<br />

work plans. The goal of Leadership Quest<br />

is for attendees to communicate and<br />

implement strategic initiatives within<br />

their departments.<br />

| 9 |<br />

THE MONITOR APRIL 25, 2008


Comings and Goings<br />

This regular feature informs M<strong>on</strong>itor readers about leaders who have joined or left the health network and leaders<br />

promoted to a positi<strong>on</strong> of manager or above.<br />

NEW HIRES<br />

Jane Postin, Chief Financial<br />

Officer for <strong>Renown</strong> South<br />

Meadows Medical Center,<br />

<strong>Renown</strong> Rehabilitati<strong>on</strong> Hospital,<br />

<strong>Renown</strong> Skilled Nursing and<br />

<strong>Renown</strong> Home Care<br />

In Postin’s new positi<strong>on</strong>, she will<br />

team with organizati<strong>on</strong>al leaders<br />

to provide financial informati<strong>on</strong><br />

for decisi<strong>on</strong>-making with a focus<br />

<strong>on</strong> cost management, revenue<br />

enhancement and benchmarking. Postin has more than 10<br />

years of experience in finance and healthcare. Before joining<br />

<strong>Renown</strong>, she served as CFO for Kansas Medical Center in<br />

Andover, Kan.. Postin is a board member and officer for the<br />

<strong>Health</strong>care Financial Management Associati<strong>on</strong>.<br />

Linda Fecteau, Manager of<br />

Tax and Treasury, Financial<br />

Management, <strong>Renown</strong> <strong>Health</strong><br />

Fecteau is resp<strong>on</strong>sible for the<br />

management of the treasury<br />

functi<strong>on</strong> for <strong>Renown</strong> and its<br />

affiliates and the preparati<strong>on</strong><br />

and/or coordinati<strong>on</strong> of all tax<br />

or license filings. Fecteau has a<br />

bachelor’s degree in accounting<br />

and more than 30 years of<br />

experience in accounting management.<br />

Dave Mang, Manager of Supply<br />

Services, <strong>Renown</strong> Regi<strong>on</strong>al<br />

In his role, Mang is resp<strong>on</strong>sible<br />

for the Central Supply Room,<br />

which includes Case Cart<br />

support for the Operating<br />

Room. He is also resp<strong>on</strong>sible<br />

for the Stores and Receiving<br />

area and Mailroom Courier<br />

Services. Patient supplies and<br />

equipment are also distributed<br />

from the Central Supply Room. Mang has a bachelor’s<br />

degree in accounting, al<strong>on</strong>g with 28 years in manufacturing/<br />

distributi<strong>on</strong> operati<strong>on</strong>s, primarily in the music industry, that<br />

began in central Illinois before Mang moved to Reno.<br />

Kathy Milt<strong>on</strong>, Manager, <strong>Renown</strong><br />

Medical Group, 910 Vista Blvd.,<br />

and Fernley<br />

In Milt<strong>on</strong>’s new positi<strong>on</strong>, she will<br />

oversee the operati<strong>on</strong>s for both<br />

facilities including ensuring<br />

excellent customer service, both<br />

internal and external. She has 20<br />

years of practice management<br />

experience. Milt<strong>on</strong> was<br />

previously with <strong>Renown</strong> from<br />

1988 to 1998, including time with the MSO billing service and<br />

as a medical practice manager.<br />

Shar<strong>on</strong> Vasquez, RN, CCRN, Nurse<br />

Manager, ICU, Medical/Telemetry,<br />

<strong>Renown</strong> South Meadows<br />

Vasquez previously worked<br />

in the Neurosciences and<br />

Telemetry units from 1980 to<br />

1985. Vasquez then worked<br />

as a nurse manager for the<br />

Sutter Neuroscience Center in<br />

Sacramento. Other experience<br />

includes work in Intensive Care at Northern Nevada Medical<br />

Center (including five years as manager) and work in Cardiac<br />

Intensive Care and Cardiac Surgery units at Shasta Regi<strong>on</strong>al<br />

Medical Center in Redding, Calif. She has a bachelor’s degree<br />

in nursing science from the University of Nevada, Reno.<br />

FAREWELL TO:<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />

Kim Arnott, Clinical Laboratory Manager, <strong>Renown</strong><br />

South Meadows<br />

Brian Cotter, Administrator, <strong>Renown</strong> Rehabilitati<strong>on</strong><br />

Hospital<br />

Newt<strong>on</strong> Chase, Director of Projects and Facilities,<br />

<strong>Renown</strong> Regi<strong>on</strong>al<br />

Glen Gemigniani, C<strong>on</strong>tract Manager, <strong>Renown</strong><br />

<strong>Health</strong><br />

Julie Larsen, Pharmacy Manager, <strong>Renown</strong> Regi<strong>on</strong>al<br />

Michele Pelter, PhD, RN, Director of Nursing<br />

Research<br />

Len Polak, Manager of N<strong>on</strong>-Invasive Cardiology,<br />

<strong>Renown</strong> Regi<strong>on</strong>al<br />

•<br />

| 10 |<br />

THE MONITOR APRIL 25, 2008


1.<br />

PEOPLE AT WORK<br />

From left, Registered Nurses Shar<strong>on</strong><br />

Spencer and Natasha St. John at <strong>on</strong>e<br />

of the Proud to be <strong>Renown</strong> events at<br />

<strong>Renown</strong> Regi<strong>on</strong>al.<br />

From left, Clinical Dietitians Linnea<br />

Gundlach-Mangness and Shawna<br />

McCarthy meet at <strong>Renown</strong> South<br />

Meadows Medical Center.<br />

Mario Martinez (left),<br />

Cardiology Tech,<br />

and D<strong>on</strong>na Brown,<br />

Ultrasound Tech, with<br />

the echocardiology<br />

machine at <strong>Renown</strong><br />

South Meadows<br />

Medical Center.<br />

From left, Ladda<br />

Haaheim, Houskeeper,<br />

and Maria Quintos,<br />

Residential Aide,<br />

near the aquarium at<br />

M<strong>on</strong>aco Ridge assisted<br />

living.<br />

Patient Access<br />

Representatives<br />

Robin Amato<br />

(left) and Liz<br />

Rodriguez at<br />

Urgent Care,<br />

975 Ryland<br />

From left, Devin Chirrick,<br />

Technical Director of N<strong>on</strong>-Invasive<br />

Cardiovascular Services, and Bryan<br />

Cox, Ultrasound Technician set up<br />

a display at the Nevada Women’s<br />

Expo at the Reno-Sparks C<strong>on</strong>venti<strong>on</strong><br />

Center. The two men work at <strong>Renown</strong><br />

Regi<strong>on</strong>al Medical Center.<br />

From left, Kristen Stevens, <strong>Health</strong><br />

Promoti<strong>on</strong> Coordinator; Deanna<br />

Nels<strong>on</strong>, RN, <strong>Health</strong> and Wellness;<br />

and Patti Sicherman, RN, Outpatient<br />

Nurse, prep before the influx of<br />

Nevada Women’s Expo attendees<br />

seeking free health screenings from<br />

<strong>Renown</strong>.


A GREAT PLACE FOR GREAT PEOPLE TO DO GREAT WORK.<br />

Every m<strong>on</strong>th in the M<strong>on</strong>itor we share comments about employees from our patient satisfacti<strong>on</strong> surveys.<br />

These comments are from January 2008.<br />

RENOWN REGIONAL MEDICAL CENTER<br />

Please accept my sincerest gratitude to each and every<br />

professi<strong>on</strong>al and compassi<strong>on</strong>ate staff member and doctor who<br />

so kindly looked after me during my hospital stay. Each and<br />

every shift was great.<br />

EMERGENCY SERVICES, RENOWN REGIONAL<br />

They allowed my husband to be with me and even brought him<br />

coffee and a toothbrush to use. They were fabulous to him. The<br />

staff, under the stress of having so many patients to be seen, were<br />

very thorough, pleasant and professi<strong>on</strong>al at all times.<br />

POST-PARTUM, RENOWN REGIONAL<br />

The nurses made it so easy to learn how to take care of our<br />

new baby that we wanted to take them home as well.<br />

ONCOLOGY, RENOWN REGIONAL<br />

The nurses <strong>on</strong> Oncology were excellent. They are very caring,<br />

tender and well-skilled. They are the best.<br />

MEDICAL/NEPHROLOGY, RENOWN REGIONAL<br />

I was extremely impressed by their knowledge, skill, time<br />

spent explaining and helping. Please acknowledge them.<br />

TELEMETRY, RENOWN REGIONAL<br />

I received immediate and professi<strong>on</strong>al attenti<strong>on</strong>. I appreciate<br />

very much the care I received.<br />

SAME DAY SURGERY, RENOWN REGIONAL<br />

As a parent, I absolutely loved the children’s tour of the<br />

surgery center. My four-year-old daughter, as a result, was<br />

actually looking forward to her hospital procedure.<br />

RENOWN MEDICAL GROUP, PEDIATRICS<br />

I’ve already recommended your facility to many of my<br />

friends. Thank you.<br />

RENOWN SENIOR MEDICAL GROUP<br />

It’s good for me, because I am allowed to express my thoughts and<br />

what I want, and we discuss and make decisi<strong>on</strong>s based <strong>on</strong> these<br />

discussi<strong>on</strong>s.<br />

IMAGING AND X-RAY, 6570 S. McCARRAN BLVD.<br />

I have never had a bad experience at the facility. Every<strong>on</strong>e has<br />

been pleasant and professi<strong>on</strong>al.<br />

IMAGING AND X-RAY, 75 PRINGLE WAY<br />

The x-ray tech came out and greeted me, and explained the<br />

situati<strong>on</strong> in regards to delays and offered to answer questi<strong>on</strong>s.<br />

It was excellent service. Every<strong>on</strong>e wore a smile.<br />

RENOWN BREAST HEALTH CENTER<br />

It’s an office that addresses mainly women’s needs and so it is<br />

comforting and private. I get a positive feeling there.<br />

RENOWN REHABILITATION HOSPITAL<br />

Outpatient Therapy went out of their way for the well-being<br />

of my mother. My experience at the facility was excellent, and<br />

besides the food was good.<br />

RENOWN SOUTH MEADOWS MEDICAL CENTER<br />

It was an outstanding experience with a staff of well-trained<br />

cooperative people in each level of resp<strong>on</strong>sibility, indicating<br />

unusually good training and administrati<strong>on</strong>.<br />

SAME DAY SURGERY, RENOWN SOUTH MEADOWS<br />

I’ve heard from friends and co-workers about how kind the staff<br />

at <strong>Renown</strong> has become, but I was so happy to have experienced<br />

the kindness and c<strong>on</strong>cern by every<strong>on</strong>e. Excepti<strong>on</strong>al.<br />

EMERGENCY SERVICES, RENOWN SOUTH MEADOWS<br />

My daughter and her girls, 2 and 4 years old, brought me to<br />

emergency. The staff accommodated them beautifully with<br />

apple juice and carto<strong>on</strong>s. My daughter was very grateful and<br />

quite impressed with the staff.<br />

DIETARY SERVICES, RENOWN SOUTH MEADOWS<br />

The food was very good, and the staff always had a smile.<br />

SURGICAL SERVICES, RENOWN SOUTH MEADOWS<br />

Your hospital was very kind to accommodate my boyfriend. He<br />

spent the night with me in my room and the nurses brought him a<br />

roll-away bed. Thank you.<br />

THE WEEKLY MONITOR | A PUBLICATION OF RENOWN HEALTH<br />

MONITOR EDITOR<br />

Mark Earnest<br />

982-6774<br />

communicati<strong>on</strong>s<br />

manager<br />

Stacy Kendall<br />

982-4651<br />

GRAPHIC DESIGNER<br />

Cassandra Lindberg<br />

EDITORIAL BOARD<br />

D<strong>on</strong> Butterfield<br />

Pamela Caggiula<br />

Gayle Hurd<br />

Stacy Miller<br />

WRITERS/PHOTOGRAPHERS<br />

Alexia Bratiotis<br />

Emilyanne Harris<strong>on</strong><br />

Jex Lawrence<br />

Nicole Shearer<br />

Whitney Wall<br />

Every<strong>on</strong>e’s opini<strong>on</strong> counts! Letter to the Editor:<br />

To submit a letter to the editor, visit Inside <strong>Renown</strong> (<strong>Renown</strong><br />

<strong>Health</strong>’s intranet site), click <strong>on</strong> Newsletters>Submit a Story Idea/<br />

Letter to the Editor and fill out the <strong>on</strong>line form. Include your full<br />

name, department, e-mail address and daytime ph<strong>on</strong>e number.<br />

We reserve the right to publish your letters. Letters chosen for<br />

publicati<strong>on</strong> may be edited for length and clarity.<br />

Special thanks<br />

John Hawkins<br />

Printing Services

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